Provider Demographics
NPI:1528246279
Name:COLLINS, WILLENE ROMONDA (MEDICAL ASSISTANT)
Entity type:Individual
Prefix:
First Name:WILLENE
Middle Name:ROMONDA
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12225 E 2ND DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8335
Mailing Address - Country:US
Mailing Address - Phone:720-276-7616
Mailing Address - Fax:303-861-3679
Practice Address - Street 1:2045 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5437
Practice Address - Country:US
Practice Address - Phone:303-861-3349
Practice Address - Fax:303-861-3679
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist